Volume : VII, Issue : I, January - 2018

Role of Laparoscopy in Acute Abdomen in Emergency

Mansoor Banday, Nabal Kumar Mishra, Atul Jain

Abstract :

 

Context: Laparoscopic surgery has been described in many abdominal emergencies, such as acute appendicitis, blunt and penetrating trauma, peritonitis, acute cholecystitis, acute small bowel obstruction and non specific abdominal pain. As the surgical experience and technology have improved so have the number of patients who are being subsequently managed exclusively with laparoscopic surgery.

Aims: To study and evaluate the diagnostic and therapeutic efficacy of laparoscopy in surgical emergencies and applicability, advantages, limitations, and complications associated with the use of laparoscopy in surgical emergencies in our group of patients.

Settings and Design: The present study was conducted prospectively in our hospital for a period of 2 year.

Methods and Material: The study was conducted on 37 patients who were admitted in the surgical casualty with complaints of abdominal pain.

Results: The pre–operative diagnosis was confirmed in 26 out of 37 patients(70%) and the diagnosis was changed in 11(30%) of patients. A definitive diagnosis was made in 35 cases (94.6%) after diagnostic laparoscopy and only 2(5.4%) patients were left without a diagnosis after diagnostic laparoscopy.

Thirty (81%) patients underwent therapeutic  laparoscopic  procedures (19 appendectomies; 8 cholecystectomies;  1 adhesiolysis;  1 liver biopsy; 1 cholecystostomy) and  4(10.8%) patients underwent  laparoscopy for diagnostic purpose only.

Conclusions: Routine laparoscopy for the acute abdomen is safe and accurate. In addition to establishing a clear diagnosis, it also confers important therapeutic benefits. A laparoscopic unit which is completely dedicated to undertake laparoscopic procedure during day and night in various abdominal emergencies will greatly enhance the efficacy and applicability of laparoscopy and will extend the  benefits of this technology to a large sub–set of patients which will be cost–effective in the long run.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Mansoor Banday, Nabal Kumar Mishra, Atul Jain, Role of Laparoscopy in Acute Abdomen in Emergency, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-1 | January-2018

Number of Downloads : 323

References :